| NPI | 1861694747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE PICKER Program Manager 619-397-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 37065) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |